@layout("/backend/common/_container.html"){
<div class="dhcc-form">
	<link rel="stylesheet" type="text/css" href="${ctxPath}/static/backend/sds/sdsqcformitem/style.css">
	<form method='post' id="sdcMedicalGroupInfoForm" name="sdcMedicalGroupInfoForm" enctype="multipart/form-data">

		<#Hidden id="episodeId" value="${cdcEpisodeId}"/>

		<!--<#Select id="entityId" name="选择病种" map="${qcentity}" value=""/>
		<#Input id="reason" name="依据原因"/>-->
		<div class="row btn-margin-bottom" style="margin-right: 0px !important;margin-bottom:15px;">
			<span class="col-xs-4 control-span">选择病种</span>
			<div class="col-xs-8">
				<select class="hisui-combobox textbox" style="width: 200px" id="entityId" name="entityId"
						data-options="editable:false,multiple:false,panelHeight:'80',selectOnNavigation:false,onSelect:SdcMedicalGroupInfoDlg.entityChange">
					@for (source in qcentity) {
					<option value="${source.key}">${source.value}</option>
					@}
				</select>
			</div>
		</div>
		<div class="row btn-margin-bottom" style="margin-right: 0px !important;">
			<span class="col-xs-4 control-span">依据原因</span>
			<div class="col-xs-8">
				<select class="hisui-combobox textbox" style="width: 200px" id="reason" name="reason"
						data-options="editable:false,multiple:false,panelHeight:'80',selectOnNavigation:false">
				</select>
			</div>
		</div>
		<div class="toolbar">
			<#Button name="保存" id="ensure" icon="icon-w-save" clickFun="SdcMedicalGroupInfoDlg.addSubmit()"/>
			<#Button btnCss="l-bt-red" name="关闭" id="cancel" icon="icon-w-close" clickFun="SdcMedicalGroupInfoDlg.close()"/>
		</div>

	</form>
</div>
<script src="${ctxPath}/static/backend/sdc/sdcbaseformshow/sdcmedicalgroup_in.js"></script>
@}
